Trial Outcomes & Findings for Vitamin D Deficiency, Muscle Pain, Joint Pain, and Joint Stiffness in Postmenopausal Women Receiving Letrozole For Stage I-III Breast Cancer (NCT NCT00416715)

NCT ID: NCT00416715

Last Updated: 2017-07-11

Results Overview

Count of early breast cancer patients prescribed adjuvant letrozole that are vitamin D deficient and who experience myalgias, arthralgias and/or joint stiffness, assessed at baseline and 1 month after vitamin D repletion.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

100 participants

Primary outcome timeframe

Baseline and 1 month post vitamin D repletion

Results posted on

2017-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Letrozole)
Patients receive letrozole PO QD. Patients, who experience muscle pain, joint pain, or joint stiffness and who are found to be vitamin D deficient, also receive calcium and vitamin D3 PO. Treatment continues for up to 28 weeks in the absence of disease progression or unacceptable toxicity. letrozole: Given PO calcium carbonate: Given PO laboratory biomarker analysis: Optional correlative studies calcium citrate: Given PO calcium glucarate: Given PO calcium gluconate: Given PO cholecalciferol: Given PO assessment of therapy complications: Ancillary studies musculoskeletal complications management/prevention: Correlative studies
Overall Study
STARTED
100
Overall Study
COMPLETED
85
Overall Study
NOT COMPLETED
15

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Letrozole)
Patients receive letrozole PO QD. Patients, who experience muscle pain, joint pain, or joint stiffness and who are found to be vitamin D deficient, also receive calcium and vitamin D3 PO. Treatment continues for up to 28 weeks in the absence of disease progression or unacceptable toxicity. letrozole: Given PO calcium carbonate: Given PO laboratory biomarker analysis: Optional correlative studies calcium citrate: Given PO calcium glucarate: Given PO calcium gluconate: Given PO cholecalciferol: Given PO assessment of therapy complications: Ancillary studies musculoskeletal complications management/prevention: Correlative studies
Overall Study
Not evaluable for joint aches
7
Overall Study
Vitamin D levels not evaluable
8

Baseline Characteristics

Vitamin D Deficiency, Muscle Pain, Joint Pain, and Joint Stiffness in Postmenopausal Women Receiving Letrozole For Stage I-III Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Letrozole)
n=100 Participants
Patients receive letrozole PO QD. Patients, who experience muscle pain, joint pain, or joint stiffness and who are found to be vitamin D deficient, also receive calcium and vitamin D3 PO. Treatment continues for up to 28 weeks in the absence of disease progression or unacceptable toxicity. letrozole: Given PO calcium carbonate: Given PO laboratory biomarker analysis: Optional correlative studies calcium citrate: Given PO calcium glucarate: Given PO calcium gluconate: Given PO cholecalciferol: Given PO assessment of therapy complications: Ancillary studies musculoskeletal complications management/prevention: Correlative studies
Age, Continuous
56 years
n=5 Participants
Sex: Female, Male
Female
100 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
98 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
87 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 1 month post vitamin D repletion

Count of early breast cancer patients prescribed adjuvant letrozole that are vitamin D deficient and who experience myalgias, arthralgias and/or joint stiffness, assessed at baseline and 1 month after vitamin D repletion.

Outcome measures

Outcome measures
Measure
Baseline
n=85 Participants
All patients that are evaluable for joint aches and vitamin D levels.
Post Vitamin D Repletion (1 Month)
n=12 Participants
Patients with vitamin D deficiency who experience myalgias, arthralgias and/or joint stiffness.
Number of Early Breast Cancer Patients Prescribed Adjuvant Letrozole That Are Vitamin D Deficient and Who Experience Myalgias, Arthralgias and/or Joint Stiffness
12 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline and 1 month post vitamin D repletion

Population: Only considering those patients who were baseline vitamin D deficient and experienced myalgias, arthralgias and/or joint stiffness.

Letrezole serum level concentration in patients that were vitamin D deficient and experienced myalgias, arthralgias and/or joint stiffness.

Outcome measures

Outcome measures
Measure
Baseline
n=12 Participants
All patients that are evaluable for joint aches and vitamin D levels.
Post Vitamin D Repletion (1 Month)
n=12 Participants
Patients with vitamin D deficiency who experience myalgias, arthralgias and/or joint stiffness.
Letrozole Serum Levels Before and After Vitamin D Repletion
85 micro-grams/mL
Interval 63.0 to 100.0
70 micro-grams/mL
Interval 69.0 to 105.0

Adverse Events

Treatment (Letrezole)

Serious events: 0 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment (Letrezole)
n=100 participants at risk
Patients receive letrozole PO QD. Patients, who experience muscle pain, joint pain, or joint stiffness and who are found to be vitamin D deficient, also receive calcium and vitamin D3 PO. Treatment continues for up to 28 weeks in the absence of disease progression or unacceptable toxicity. letrozole: Given PO calcium carbonate: Given PO laboratory biomarker analysis: Optional correlative studies calcium citrate: Given PO calcium glucarate: Given PO calcium gluconate: Given PO cholecalciferol: Given PO assessment of therapy complications: Ancillary studies musculoskeletal complications management/prevention: Correlative studies
General disorders
Joint aches
27.0%
27/100

Additional Information

Dr. Hannah Linden

University of Washington / Seattle Cancer Care Alliance

Phone: 206-288-6989

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place